Study of prevalence of osteoporosis in males of above 40 years age group attending SMS Hospital, Jaipur

Parwez Qureshi, R. C. Meena, Jakir Husain, Gaurav Deshwar, Vineet Maheshwari, Lakhpat Yadav


Background: Whenever osteoporosis is discussed, the focus is on women; men are far less likely to receive a diagnosis of osteoporosis or osteoporotic fracture because of considerable gaps in knowledge on male osteoporosis. The aim and objectives were to study the prevalence of osteoporosis in males of above 40 year age group attending SMS Hospital Jaipur & to explore the influence of various modifiable and non-modifiable risk factors on BMD.

Methods: Study Location: SMS Medical College and Hospital, Jaipur. Study design: Hospital based cross sectional study. Study period: April 2015 to December 2016. Sample Size: 200. Work up: After taking ethical clearance and informed verbal consent, demographic and clinical details were noted along with S- calcium, Vitamin D and bone mineral density assessment. Osteoporosis was defined as T score ≤−2.5 bone mass −1 to −2.5 and normal as >−1. Data thus collected was analysed with help of SPSS 22.0 through frequency, percentages, Mean, SD and ANOVA.

Results: Prevalence of osteopenia and osteoporosis in the study population was 28.5% and 11.5%. Age wise maximum prevalence was in the age group 71-80 years (31.81%). Prevalence of osteoporosis was more among Muslim community 20.83%, more in low socio economic group (BPL). T score of study population was -0.3705±1.41. The mean BMI, S-Calcium, Vitamin D levels and T score values among osteopenic and osteoporotic patients were statistically highly significant when compared to patients without osteo-penic/porotic changes (p<0.05).

Conclusions: Osteoporosis is a silent killer and prevention is better than cure as prevention requires simple steps such as good dietary habits, active life style, good control of systemic disorders, reduced intake of tobacco and alcohol.


Osteoporosis, T score, BMD

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Cooper C, Campion G, Melton LJ. Hip fractures in the elderly: a world-wide projection. Osteoporosis Int. 1992;2(6):285–9.

Kiebzak GM, Beinart GA, Perser K, Ambrose CG, Siff SJ, Heggeness MH. Under treatment of osteoporosis in men with hip fracture. Arch Intern Med. 2002;162:2217–22.

Nguyen TV1, Eisman JA, Kelly PJ, Sambrook PN. Risk factor for osteoporosis fracture in elderly men. Am J Epidemiol. 1996;144:253–63.

Hannan MT, Felson DT, Dawson-Hughes B, Tucker KL, Cupples LA, Wilson PW, et al. Risk factors for longitudinal bone loss in elderly men and women: the Framingham osteoporosis study. J Bone Miner Res. 2000;15(4):710-20.

Melton LJ 3rd. How many women have osteoporosis. J Bone Miner Res. 1995;10(2):175-7.

Rao SS, Budhwar N, Ashfaque A. Osteoporosis in men. Am Family Physician. 2010;82(5):503–8.

Vepa SS. Gender equity & human development. Indian J Med Res. 2007;126(4):328–40.

Center JR, Nguyen TV, Schneider D, Sambrook PN, Eisman JA. Mortality after all major types of osteoporotic fractures in men and women: an observational study. Lancet. 1999;353:878–82.

Agrawal NK, Sharma B. Prevalence of osteoporosis in otherwise healthy Indian males aged 50 years and above. Arch Osteoporosis. 2013;8(1-2):116.

Lee YK, Yoon BH, Koo KH. Epidemiology of osteoporosis and osteoporotic fractures in South Korea. Endocrinol Metab (Seoul). 2013;28(2):90–3.

Melton LJ 3rd, Atkinson EJ, O'Connor MK, O'Fallon WM, Riggs BL. Bone density and fracture risk in men. J Bone Miner Res. 1998;13(12):1915-23.

Center JR, Nguyen TV, Schneider D, Sambrook PN, Eisman JA. Mortality after all major types of osteoporotic fracture in men and women: an observational study. Lancet. 1999;353(9156):878–82.

Diamond TH, Thornley SW, Sekel R, Smerdely P. Hip fracture in elderly men: prognostic factors and outcomes. Med J Australia. 1997;167(8):412–5.

Paul TV, Thomas N, Seshadri MS, Oommen R, Jose A, Mahendri NV. Prevalence of osteoporosis in ambulatory postmenopausal women from a semi urban region in southern India: relationship to calcium nutrition and vitamin D status. Endocrine Practice. 2008;14(6):665–71.

Harinarayan CV, Joshi SR. Vitamin D status in India-its implications and remedial measures. J Association Physicians India. 2009;57:40–8.